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Individual

THAMER ALMANGOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(508) 615-4954
Mailing address
710 CENTER ST, COLUMBUS, GA 31901-1527

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH028452
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
059796791
DRIVER'S LICENSE
GA
Enumeration date
12/02/2015
Last updated
12/02/2015
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